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Laboratory Diagnosis of Tick-Borne Infections

Part 2


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Case 2

Slide 23

July 2010

So now let’s move on to case number 2. A 4-year-old boy from Connecticut was brought to his pediatrician by his mother for a 2-day history of fever and headache. During physical exam, the pediatrician noticed a 5-cm maximum dimension, oval-shaped rash on the boy’s back that the mother hadn’t seen previously.

On questioning, she did not recall any injury or any insect bites to this area that would account for the rash. But, the physician was concerned that it may represent an atypical rash of Lyme disease, and this suspicion was supported by the fact that the patient had just returned from a camping trip in the woods 5 days ago.

Case 2


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